Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.97 / $60.47 / $128.54	Facility		$26.97	$60.47	$128.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.97 / $35.28 / $74.20	Professional		$26.97	$35.28	$74.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.18 / $57.18 / $57.18	Professional		$57.18	$57.18	$57.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.41 / $44.20 / $140.30	Facility		$26.41	$44.20	$140.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $17.32 / $77.86	Professional		$17.32	$17.32	$77.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $40.54 / $56.77 / $87.18	Facility		$40.54	$56.77	$87.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $40.54 / $48.66 / $52.72	Professional		$40.54	$48.66	$52.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.31 / $71.65 / $125.41	Facility		$40.31	$71.65	$125.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.16 / $36.92 / $120.94	Professional		$20.16	$36.92	$120.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.50 / $49.67 / $315.52	Professional		$36.50	$49.67	$315.52
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $693.23 / $1,374.33 / $1,650.84	Facility		$693.23	$1,374.33	$1,650.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $39.46 / $49.88 / $72.38	Professional		$39.46	$49.88	$72.38
United Facility/Professional Professional Modifier Low / Median / High Price $16.02 / $24.33 / $73.68	Professional		$16.02	$24.33	$73.68